M08.20
BillableJuvenile rheumatoid arthritis with systemic onset, unspecified site
HCC Category Mapping
V28HCC 93 — Rheumatoid Arthritis and Inflammatory Connective Tissue Disease
0.175V24HCC 40 — Rheumatoid Arthritis and Inflammatory Connective Tissue Disease
0.307ESRDHCC 40 — Rheumatoid Arthritis and Inflammatory Connective Tissue Disease
0.000RxHCCHCC 83 — Rheumatoid Arthritis and Inflammatory Connective Tissue Disease
0.000What This Code Means
A systemic form of childhood arthritis that affects the whole body with fever, rash, and joint inflammation, but the specific affected joints are not documented.
Coding Tips
- •This code indicates systemic onset juvenile rheumatoid arthritis without specification of which joints are involved
- •Document systemic symptoms such as fever, rash, and lymphadenopathy to justify this diagnosis
Clinical Significance
Systemic onset juvenile rheumatoid arthritis with unspecified site represents the most severe form of pediatric inflammatory arthritis with systemic manifestations including fever, rash, and organomegaly. This condition has the highest morbidity risk among JRA subtypes and requires intensive immunosuppressive therapy.
Documentation Requirements
- ✓Physician diagnosis of systemic onset juvenile rheumatoid arthritis
- ✓Age of onset documented as under 16 years
- ✓Evidence of systemic features (fever, rash, organomegaly)
- ✓Laboratory evidence of systemic inflammation
- ✓Documentation of arthritis component
- ✓Assessment of systemic organ involvement
- ✓Treatment with systemic immunosuppressive therapy
- ✓Monitoring for macrophage activation syndrome
Commonly Confused Codes
Code Hierarchy
└M08Juvenile arthritis└M08.2Juvenile rheumatoid arthritis with systemic onset└M08.20Juvenile rheumatoid arthritis with systemic onset, unspecified site
└M08.20Juvenile rheumatoid arthritis with systemic onset, unspecified site